Individual
KELLY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
209 ROOT RD, SUITE #2, WESTFIELD, MA 01085-9832
(413) 568-3942
(413) 568-5983
Mailing address
209 ROOT RD, SUITE #2, WESTFIELD, MA 01085-9832
(413) 568-3942
(413) 568-5983
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7579
MA
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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